Vocastim吞咽语言治疗仪联合风池穴针刺治疗急性脑卒中后假性延髓麻痹的临床研究

目的：观察 Vocastim 吞咽语言治疗仪联合风池穴针刺治疗急性脑卒中后假性延髓麻痹的疗效。方法将128例急性脑卒中后假性延髓麻痹患者随机分为对照组（63例）和联合组（65例），对照组给予常规 Vocastim 吞咽治疗仪进行治疗，联合组给予Vocastim 吞咽语言治疗仪联合风池穴针刺进行治疗，观察两组的临床治疗效果。结果两组治疗1个疗程、2个疗程后吞咽 X线透视检查（VFSS）评分均较治疗前明显升高，差异有统计学意义（P＜0.05或P＜0.01），且两组治疗1个疗程、2个疗程后 VFSS 评分差异有统计学意义（P＜0．05）。联合组改善吞咽障碍总有效率可达92.3％，改善构音障碍有效率可达90.8％，与对照组相比差异有统计学意义（P＜0.01）。结论 Vocastim 吞咽语言治疗仪联合风池穴针刺治疗急性脑卒中患者假性延髓麻痹疗效显著，能够有效改善患者吞咽、构音障碍。

Effect o fVocastim M aster and Acupuncture at Fengchi on Pseudobulbar Paralysis AfterAcute S troke

O bjective To explore the clinical therapeutic effect of Vocastim M aster and acupuncture at GB20（ Fengchi） on pseudobulbar paralysis after acute stroke .M ethods O ne hundred and tw enty e ight patients w ere divided in tw o groups at random , the contro l group treated w ith Vocastim M aster,the com bination group treated w ith Vocastim M aster and acupuncture .Before and after treatm ent the clinical therapeutic effectw ere observed.Results Before trea tm ent the sw alow ing function score in bo th group w ere no t different.After treatm ent the scores were different significantly betw eencombination group and controlgroup （ P〈0.05 orP〈0.01） . C om pared w ith contro lgroup ,the clinical efficacy in com bination g roup on dysarthria and dysphagia w ere significantdifferent（ P〈0.01） . C onclusion Vocastim M aster and acupuncture in treatm ent of dysarthria and dysphag ia after acute stroke is confirm ed efficacy , should be introduced.